Substance for treatment of tuberculosis and process of making said substance.



. main groups, animal BENJAMIN l8. PASCHALL, 0,1 will-"LB, WLSHINGI'OH.

SUBSTANCE I03 TREATHENT 1,078,873. In Drawing.

Specification of Lemma htent. Application filed October 12, 1912. sum in. 728,439.

TIIBEBCULOSIS AND PROCESS OF iwfl am SUBSTANCE.

Patented Nov. 18, 1013.

To all whom it may concern Be it known that I, BENJAMIN S. Pas- CHALL, a citizen of the United States, and a resident of Seattle, State of Washington, have invented certain new and useful Improvements in Substances for Treatment of Tuberculosis and Processes of Making Said Substances, of which the following is a specification.

This invention relates to anew method of treating tuberculosis, based upon hitherto unknown biochemical phenomena and by means of a new substance produced by a new process. I

All micro-organisms are divided into two and vegetable. Thev etable group of micro-organisms are chie y acute disease producers in animals and man, with the exception of those micro-organisms which elaborate large amounts of certain protective substances of a fatty or wax like nature (fats, waxes, leoithins and cholesterins) chief among these bein the bacilli of tuberculosis and leprosy. t is well known that the destruction of bacteria of the character of typhoid and pneumonia by the animal body, depends chiefly on the production of a specific substance against the disease micro-organism, now, recognized as a proteolytic enzym, The time required for the production of these enzyme in sufficient quantity to digest the invading bacteria is approximately from seven to twentyone days and its maximum production occurs simultaneously with the crisis of the disease. Killed, ground -up typhoid bacilli or pneumococci injected into an experimental animal are practically non-poisonous on the first injection, except in enormous doses, but no more so than similar doses of any other albuminous body like egg or milk albumen. A second infection of any albuminous body, however, from seven to twentyone days later will produce severe symptoms of intoxication due to the fact that when the enzym gradually formed as a result of the first injection of the bacteria or albumen is present already, there occurs a sudden cleavage of the molecules into peptone-like bodies, some of which are highly poisonous, and the animal frequently dies quite suddenly after this second injection (anaphalaxis). 7

A tuberculin reaction shows the presence of tuberculosis only because of the presence bercl'e bacil one place in a certain way,

tract of specific enzyms in'the tuberculous individual or animal, capable of splitting and digesting the proteid portion of the tubercle bacillus. Obvious'l then, it is the protective impregnation o wax and fat-like bodies throughout the protoplasm of the tuus which prevents the roteolytic ferment already presentin the 0st from digesting and destroying the tubercle bacillus. (This was understood by Koch.

The chemical explanation has been soug t for the reason why tuberculosis and leprosy last for years and continue to grow and increase to the detriment of the host in spite of the apparent presence of abundant proteolytic enzyms, which would be capable of dissolving the roteid portion of the tubercle bacillus, 1f such enzym could penetrate through the protective wax, the presence of these enzyms being shown by the tuberculin reaction Which is constantly present in every case of tuberculosis. I

If the animal organism does one thing in it is pretty certain to emplo the same method in another place. In ot er words, if the alimentary digests proteid with the ferment, the tissue cells in the body at large would be more likely to employ that method of dispos1n of a foreign proteid than any other, and t is has been conclusively proved. The intestines manufacture amyolytic ferments for splitting starches, and also ferments for splitting fats and to some extent waxes known as lipolytic ferments, but I have discovered that the tissues can do the same thing, that is, manufacture lipolytic ferments, difiering from the intestinal ferments in the same manner that the proteolytic tissue ferments do, in that they are specific for the particular fat from whlch the injected fat derivative is made.

Reference may be made to Kalle & Co.s patents covering a substance known as tuberculo-nastin made by extracting the wax and fats of tubercle bacilli with suitable solvents, such as chloroform, ether, alcohol, toluene and benzene, as English Patent No. 26,077, of 1906; German Patents Nos. 193,883 and 199,200; English Patent No. 27,383 of 1907; German Patent No. 201,989, addition to German Patent No. 199,200, callin for the use of solvents such as benzyl, alcohol, benzaldehyde, salicylaldehyde, cinnamicaldehyde, etc. The use, however, 01"

tubercle wax extracted by solvents has not met with absolute success therapeutically, though their results have been decidedly encouraging, the latest reports being by Much and Leschke, who used these substancesand reported their results in the Beitrage zur Klz'm'lc Tuberlculose Bd. XX, Heft 3, 1911.

Zeuner employe a different method covered b German Patent No. 213,629. He treated t e tubercle bacilli with hot soap solut'ion- (sodium oleate) for a few days, using heat and his experiments on animal and man were decidedly encouraging using this substance. N oguchi, Rockefeller Institute, corroborated this work. (Reports 0 Sim/t International Congress for Tubercu- 1082's.) Guinea-pigs lived from seven to thirteen weeks longer than the control animals. This was a reasonable-result, inthat the lipolytic ferment of the intestine saponifies only part of the fats, the remaining portion being dissolved in the resulting soap solution and absorption thereby taking place. As the fat droplets dissolved in soap pass throu h the intestinal wall, certain changes of a iological nature take place, in that animal fat is converted into human fat, as shown by the difference in the iodin number. Zeuner, however, by this method, is unable to get rid of the proteid adherent to the fat and also has no way of getting rid of thevolatile fatty acids and toxic residues and other extraneous substances contained in the fat, which would absolutely prevent giving an immunizing dose. A description of Zeuners method, with his results, may be found in Zeitsahrz'ft fur Tuberlculose, 1909, Bd. XV, Heft 2. V

In the methods covered by Kalle & Co.s patents, the body has as much trouble splitting up the waxes and thereby calling forth the production of a large quantity of lipolytic ferment as obtains in the original disease by the presence of the original tubercle waxes in their natural state surrounding the bacillus in the diseased body. These waxes are, it is true, foreign bodies, but practically non-irritating and the tissues tolerate them and do not seek to get rid of them to any greater extent than they try to get rid of a piece of paraffin injected at any point under the skin. Paraffin or wax will remain Where injected for a very long time, due to their benign and non-irritating character.

Experiments on the iodin value of hog fat and dog fat, for instance, difi'er sufiiciently to separate these fats chemically. Hog fat fed to a dog reappears in the mesenteric fat as dog fat, but hogfat injected into a dog through the blood, reappears in the mesenteric fat as hog fat and gives the iodin number of hog fat. As such, it remains there for long periods of time. Other experiments with animal and vegetable fats show the same phenomena. Such phenomena occur,

also, if hog serum is injected into a dog. The serum is attacked, a ferment is manufactured for its digestion, it is digested and converted into something else, leaving behind it a new specific ferment as a result of its presence.

I have discovered that if a lipolytic ferment is to be produced in the tissues in large quantities, active and specific, so that it will attack and digest the tubercle waxes and fats, these waxes and fats must first be split just as done by the intestines by a saponification method. Instead of using a ferment for the saponification, I produce saponification by chemical means, as b means of an alkali. The resulting saponified wax will now so influence the body cells upon injection, as to force them in turn to produce a lipolytic ferment capable ofperforming the important function of digesting tubercle Waxes and fats in their original state. The explanation of these phenomena lies within the realm of colloidal chemistry, since the soap, like the albuminous body is a true colloid, which waxes and fats are not. After the production of this lipolytic ferment and the splitting of the waxes and fats from the tubercle bacillus, the destruction of the remaining portion of the bacillus readily occurs, as has been actually demonstrated by my researches through animal experimentation and upon man.

My method of treating tuberculosis is additionally an improvement on any other, in that the saponification method enables one absolutely to get rid of the last traces of proteid and a number of other substances which are of a highly injurious character when injected.

Pure saponified tubercle wax has been found to give no reaction shock in the sense that proteid substances, as tuberculins do, that is, high temperature, labored breathing, vomiting, etc. Furthermore, certain extraneous substances may be separated by alcohol or ether extraction of the fatty acids, these substances being in part unknown, and in part consisting of oleo-resins, nucleo-proteids, chitin, pectin and other substances of that nature. The injection of tuberculonastin of Kalles patents produces an ugly swelling, terminating in a hard insoluble lump, as if paraflin or other wax was injected under the skin and most of it remains unabsorbed for months. To obviate this objection,-benzyl chlorid and other substances are used, as mentioned above, but these have not proved satisfactory. Pure saponified wax, on the other hand, as I have produced it, is entirely absorbed in a few days unless too concentrated, leaving behind no trace whatsoever, as abscess formation may result from too great concentration. My improved substance produces some slight irritation for a few minutes following injection.

The substance is entirely harmless and max imum doses sufiicient' .to check the disease may be obtained after the third or fourth dose given once a week. 5 As to the strength of the soap, I prefer to evaporate it as near dryness as possible to a consistency of a thick paste. One gram of this is. then added to 00. normal salt solution of which 100 cc. or 10 grams of 19 solid substance 'is sufficient for a maximum dose. The substance should be neutralized with the greatest care, as any excess of alkali is irritating to the tissues. Thereare, however, slight traces of insoluble fatty .acids' in the solution which are absorbed without difliculty in the tissues. Guineapigs inoculated with fatal doses of tubercle bacilli-die within six to eight weeks. Treated with .my improved substance they remain 29 healthy, and after six months show no trace of the disease. In man, I have found that my improved substance checks the diseasev in from six to twelveweeks, even in cases absolutely hopeless to any other method of as therapy.

Before proceeding to a description of my preferred process of producing my improved substance, the results of analyses'of oughly investigated.

In carrying out my process for making my improved substance, tubercle bacilli are grown on ordinary suitable culture media, removed by filtration, and carefully washed.

They are then dried 1n an oven, at a lowtemperaturc, until completely dry, and pulverized in suitable apparatus, such as a.

chemistsball mill. They are a little easier to handle if not pulverized too fine. The

waxes and fats in the thoroughly dry and pulverized mass are now saponified, and this step of saponification may be carried out by several methods. I prefer the method in which sodium or potassium alooholate, preferably sodium alcoholate, is .used for saponification. The sodium alcohols-to should be freshly prepared from absolute alcohol, and so during my whole process great care should be taken to conduct the reactions as free from water as possible. The dried and pulverized mass, in accordance with my preferred method of treatment, is placed in a flask preferably fitted the wax of the tubercle bacillus should be oleo-resins, coloring matter and traces ofother substances which have not been thorwith a reflux condenser and ti:ea t%di l with an excess of sodium alcoholate.

e whole mass is then saponified in any suitable manher as by b'oil'mgquite freely on a water bath for several hours until saponification. is complete. The mixture then contains wax free tubercle bacilli, soaps, unsaponifiable matter, and other substances.

The steps which follow in the description of my Process are the steps which I prefer, it being understood that myresults may be obtained by different methods, without de parting from ,the spirit of my invention.

:The mixture is filtered and those sub stances soluble in alcohol, as. the saponified 8 waxes and fats, passthrough the filter, leaving the proteidgortion and unsaponifiable matter behind. little absolute alcohol may be poured on the mass of the filtrate to remove the lasttraces of the soap from the 851 proteids. The unsaponifiable matter consists of the higher alcohols, which may be separated from the proteid portion of the tubercle bacilli in any suitable and well known manner. These alcohols may then be heated with soda lime orother suitable. reagent, until they are converted into fatty acids, chiefly palmitic, which may be added to the alcoholic solution of soaps, if desired. The sodium alcoholate solution contains substantially all the saponifiable matter present in the tubercle bacillus ranging from about 25% to about 45% of the total substance by weight originally treated, and only cant-ains traces of proteid substances which 'are soluble in alcohol. The alcohol is removed in any suitable manner, as by distillation, and theportion of glycerin-formed in the saponification process is then decanted and the solid residue is dissolved in hot water, 5 cooled and treated-with dilute acid, as bydrochlorio or sulfuric acid, whereby the insoluble fatty acids are precipitated. These insoluble fatty acids are collected on a filter and washed, after which the filtrate is tested 110 for traces of proteid by the biuret test, Millons test, x-antbroproteic, or other suitable proteid test. Some of the volatile fatty acids like formic, butyric' and acetic, are present in the filtrate and these are thrown us away with the traces of proteid, as they are irritating to the tissues and as they and the proteid substances would prevent the giving of large doses. The next, and probably the most important step in the process, no consists in purifying the fatty acids produced, existing at this stage as substances insoluble in cold water. The purification may take place by several methods, but I will describe my preferred method, as fol- 135 lows: The insoluble fatty acids are redissolved, preferably in the minimum amount of hot potassium hydrate, cooled, precipi tated with dilute acid in the some manner as in the first instance, again washed, pref- .color.

erdbly with ice water and the wash water again tested for-traces of proteids and other extraneous material. The wash water a ain contains soluble proteids, the soluble flitty acids mentioned above, some coloring mat? tr and other substances soluble in acidified water. This process of nedissolving in hot alkali and re-precipitating with cold dllute acid,is repeated a sufiicient number of times,

until the fatty acids insoluble in cold water.

have become com letely purified. I consider it essential to t e success of my process, that the purification of the fatty acids insoluble inwater be made complete, or at leastas com lete as it can be made. A further puri cation'is then efi'ected, as by means of ether, alcohol, chloroform or some suitable solvent which will not dissolve proteids, oleo' resins and substances of that nature. .The precipitated fatty acids are dis-- solved preferably with ether or alcohol, as in a sepa'ratory funnel and the residue containing oleo-resins nucleo-proteids and other extraneous matter is discarded. The solvent is then d'riven ofi', as by means of heat, and the fatty acids are redissolved in just sufficient potassium 'hydrate or other suitable substance. capable of converting the fatty acids into, compounds soluble in water, great .care being taken notto get an excess of the combining substance when an alkali is used. Thei'esulting soap may now be treated by some bleaching process, as-peroxid of hydrogen'jmimal charcoal, etc. This purification' with alcohol and ether is continued until the resulting sea is clear and opalescent. When bleache the soap is at first a light amber color, even in concentrations, later turning darker, and to a brownish consistency whenconcentrated almost to dryness, has a resinous musty odor, and gives a'slightly alkaline reaction. It is soluble in water, alcohol and the usual sol-.

vents in which soaps are soluble and it answers many of the chemical and physical tests for soaps, particularly soaps produced from waxes. p

The process described has produced a soft soap made from the fats and waxes contained in the tubercle bacillus. This substance is free from poisonous properties,

.and consequently the maximum dose can be rapidly reached. If given toorapidly, the proteid portions of the tubercle bacilli pres- .ent-in, the body, are too rapidly split up The substance has a thick soapyand thereby set free toxic byproducts, in

such quantity, as might create some temporary disturbance in the host. lnto guinea-pigs, inoculated with virulent tubercle bacillus 1n sufiicient quantity to kill the guinea-pig in from six to eight weeks, my new substance causes a practical disappearance of the disease and injections have been given of such size without harm, as to lead to-the belief that man could tolerate forty times the present dose I have given him at the date of this application for patcut, or even more. Tuberculous guinea-pi Injected have been given one gram of the solid su stance without harm.

My experience with the clinical applica tion of saponified tubercle bacillus wax has been, that in acute and chronic tuberculosis 1 in thefirst and second stagesof the disease,

it will produce a practical disappearance of all symptoms of the disease in from two to twelve weeks and a majority of these cases were considered-absolutely hopeless to any other heretofore known method of therapy.

In treating tuberculosis with this sub-- stance, it is Well to give upon the first dose 1-1/100 of a gram of the solid substance properly diluted, increasing the dose at the end of seven days to '1/10 of a gram of solid substance, and at the end of the third week one gram of thesolid substance properly diluted. If necessary at the-end of the fourth week, ten grams of solid substance may be given properly diluted in cc. normal salt solution, although it is not always necessary to reach this dose, smaller amounts sometimes being sufiicient. After the maximum dose is reached, the same amount is given at intervals, varying from one to four weeks apart, until the host is free from the disease. From time to time, this method might be repeated if there should recur signs of the disease.

I claim and desire to obtain by Letters Patent, the following:-

1. The method substantially as herein described of preparin a substance for the treatment of tubercu osis, which consists in saponifying the waxes and fats contained in tubercle bacilli, the soap so obtained being capable when injected into animals or man of producing a lipolytic ferment in the tissues, which ferment will in turn dissolve a suflicient portion of the waxy protective substances elaborated by tubercle bacilli, so that the micro-organism itself is destroyed.

2. The method substantially as herein described of preparing a substance for the treatment of tuberculosis, which comprises saponifying the unextracted-wax and fats contained in tubercle bacilli.

3: The method substantially as herein described of preparing a substance for the treatment of tuberculosis, which comprises saponifying the unextracted wax and fats the sapom a id i a suit bl v nt l l t-com 0.11am in o se bac li, pu i y ng th insolub e fat y 1418 fi i n and dis ol g s d o r venting said fatty acids into compounds spluble in water and suitable for in ection into man.

The method substantially as herein described of preparing .a substance for the treatment 0 d yingaud pulverizin tubercle bacilli, sa ponifying the mass wi h a suitable rerfigent, filtering the mixture so obtained to remove the proteids and other injurious substances, evaporating the filtrate, and dissolving the residue in a suitable solvent.

5. The method substantially as herein de scribed of, preparin a substance for the treatment of. tubercu osis, which comprise drying and pulverizin tubercle bacilli, saponifying the mass wit t o teid and other injuri subs nc s, e ap rating the filtr dissolving the r due-in a suitable solvent, cooling the result,- ng so p so t on, p e ipitating t e ns l-uble fatty acids with a suitable acid', tiltering and ooling the. soap solution, and aga n precipi a g h a sui able acid an re.- peating the process of redissolving and reprecipitating with an acid until the insoluble fatty acids ar purified and dissolving the precipitated fatty acids with a suitable scivent.

6. The method substantially as herein described of preparing a substance for the acid and repeating the process of redissolving and re-precipitatlng with an acid untilthe insoluble fatty acids are'purified, dissolving the precipitated fatty acids with a suitable solvent which will separate them from oleoresins and other substances insoluble in a solvent of this nature, and discarding the oleo-resins and other extraneous matter, re-

moving the said last-named solvent, and redissolving the fatty acids in a suitable solvent capable of rendering the fatty acids soluble in water, thereby obtaining as a result of the process, a pure soap.

7. The new and improved substance comprisin wax,- or the treatment and cure of tuberculosis, said substance having a thick soapy tained; as a u t of tuberculosis, which comprises scribed tectiye substances elabflrated a ui able re-egen y filtering the m xture so obtained=to remove,

pure saponified tubercle bacillus we ev hen mmute. at 0st o 1 ,7- n ss :f ii fiabmwnsh colo ogos w od same a 8 My elkelmes ptwn, a u m n 0 m t yh n meo -i int!) healt y or tuberculous pn mals or man, and capable of producing a hpolyt-lc ferment n he t ssu pecifi to? the Y4K om w ich he soap m de- 8- The rec s subst t ally as erein .defi pr parm a .der tlve from h 4. rea tive su stan ela ra d by when b ll which lll?fl$fi pqnif ym e nrpte h e stee e an re iri g t e ma l-9mg 41? M11 It s sshwexy e atty stantlally free from impurities and tonic s an s,

9. As a new arti le of manufacture, a compound d r v d r m t e e y'end fat? P y t ol baci i, an p mfie agai id pr tecti e tanc s d comp und b g sub tant el y f e r m t c subs an e pp fi ll the physical characteristics of soap and givins a s g t y a kalin ea n- 10- As a n w a tic e i m n f cture, a compound d riv y apcn et es from he a y and fatty vnre e t ve bstanc s elaborated by tubercle bacilli, and spec fic against s id p otecti su tances, a co p nd h me substantia y free rom puriti s, posse g h phy i al chara ersms oi Snap, being .i a ic soap n ist nev n c n ent ate a most to d yness, p .sh 0 1m an ha ing a charac er who r m es mu ty mi e As a n w article of man factu e, a men de ived om the may and'fattv p p eetwe subst nc s elaborated y tu ercle baci li, an speci c against and prote tive substanc s, said soap being substantially free from unpu ities and tens substeneee'pcse ss eg th physical characteristics of soap, answenng the usual chemical-tests-for soap, and of nonoisonous character when injected into healt y or tuberculous animals or men.

12. As. a new article of manufacture, a soap derived from the waxes and fats elaborated by tubercle bacilli, and capable of producing a li lytic ferment in the tissues, said soap being substantially free from impurities and toxic substances, of nonoisonous character when injected into hea thy or tuberculous animals or men, of brownish color and of thick soapy consistency when concentrated almost to dryness.

13. As a new article ofv manufacture, a derivative of the waxy and fatty protective substances elaborated by tubercle bacilli, substantially free from toxic substances, and having the property of so influencing the body cells upon lnjection as to cause them to said waxy and fatty protective substances, and of non-poisonous character when injected mto healthy or tuberculous animals or inen.

produce a llpolytic ferment specific against 14. As a new article of manufacture, a derivative of the waxy and fatty protective substances elaborated by tubercle bacilli, substantially free from toxic substances, and having the hereindescribed characteristics and the .hereindescr'ibed influence upon the body cells upon injection, of brownish color, of thick soapy consistency when concentrated almost to dryness and having a characteristic resinous musty odor.

15. A new article of manufacture, comrising substantially pure saponified tubercle bacillus wax, possessing the physical characteristics of soap andvanswering the usual chemical tests of soa 16. As a new article 0 manufacture, a substantially pure soa derived from the waxy and fatty protective substances elaborated by tubercle bacilli,'of brownish color,

havin a characteristic resinous musty odor and giving a slightly alkaline reaction.

17. As a new article of manufacture, a substantially pure non-poisonous soap derived from the waxy and fatty protective substances elaborated by tubercle bacilli, of thick soapy consistency when concentrated almost to dryness and giving a slightly alkaline reaction 18.. A substantially pure, non-poisonous soap derived from the unextracted waxy and fatty protective substances elaborated by tilbercle bacilli, of thick soapy consistency when concentrated almost to dryness and giving a slightly alkaline reaction.

19. A substantially pure non-poisonous soap derived from the unextracted waxy and fatty protective substances elaborated by tubercle bacilli having a characteristic resinou s musty odor and giving a slightly alkaline reaction, of brownish color, possessing protective substances elaborated by tubercle I bacilli. a

21. A new article of manufacture, comprising a soap made by saponifying tubercle bacillus wax, said soap being of brownish color and of a" thick soapy'consistency when concentrated almost to dryness, havin a characteristic resinous musty odor, giving a slightly alkaline reaction, of non-poison0us character when injected into healthy or tuberculous animals or men, capable of producing a lipolytic ferment in the tissues specifica ainst the wax from ,which the soap is ma e, substantially free from impurities and't-oxic substances, possessing the physical characteristics of soap and answering the usual chemical tests for soap. p

In testimony whereof I have signed this specification in the presence of two subscribing witnesses.

BENJAMIN s. PASCHALL.

Witnesses:

Ross GARFIELD PASGHALL, HERBERT G. OGDEN. 

